Cured oil-hydrogel biomaterial compositions for controlled drug delivery

ABSTRACT

The present invention is generally directed to materials, gels, coatings and films prepared using a biomaterial (e.g., a fatty acid-based material comprising a network of cross-linked fatty acids) and a fixating material, layer or film (e.g., a fixating material comprising Na—CMC). The materials, gels, coatings and films disclosed herein can be used to facilitate the delivery of one or more therapeutic agents to a targeted tissue and a desired rate of release.

RELATED APPLICATION

This application claims priority to, and the benefit of, U.S. Provisional Application No. 61/659,301, filed Jun. 13, 2012. The entire teachings of the above application are incorporated herein by reference.

FIELD OF THE INVENTION

The present inventions relate to coatings and materials that generally comprise a biomaterial layer and a fixating or adhesive layer and to related methods of using such layers to influence the physical properties and behavior of the resulting coatings and materials, including with respect to drug delivery.

BACKGROUND OF THE INVENTION

U.S. Publication No. 2012/0016038, presented the ability to alter the hydrolysis rate of biocompatible cured oil compositions by altering the underlying fatty acid content of the starting material. The application also demonstrated that the rate of hydrolysis of the oil composition could be directly altered as a means to control the delivery rate of therapeutics. U.S. Publication No.: 2010/0183697 discloses the ability to couple non-cross-linked CMC and chitosan hydrogels to cured oil materials for use as an adhesion barrier was presented.

Needed are novel materials and related methods of manipulating the properties of films, anti-adhesion layers, coatings, gels and adhesive layers. Also needed are novel methods of preparing coating materials that have desired properties and that can be manipulated to achieve one or more desired outcomes or characteristics, such as the rate of hydrolysis or adhesive properties.

SUMMARY OF THE INVENTION

The present invention is generally directed to materials prepared using a network of cross-linked fatty acids (e.g., omega-3 fatty acids) that can be implanted as a film, anti-adhesion layer, coating material or gel, and in certain embodiments can be used for or to facilitate delivery of one or more therapeutic agents. The present invention is also directed to such anti-adhesion materials, layers, films, coatings and gels that can be prepared with an outer adhesive layer, such as a fixating or mucoadhesive layer (e.g., a layer comprising carboxymethylcellulose or CMC). By thermally-inducing cross-linking of fatty acids (e.g., omega-3 fatty acids) the properties of the resulting materials (e.g., polarity, rate of hydrolysis and/or bio-absorbability) can be tuned or otherwise manipulated by modulating the fatty acid composition of the material. In certain embodiments, the materials disclosed herein (e.g., films, coatings, gels and barrier layers) can be used to facilitate the delivery of therapeutic agents to a target tissue at a defined rate, as release from such materials predominantly results from material bio-erosion rather than out-diffusion. For example, hydrolysis and enzymatic hydrolysis or degradation (and therefore in vivo bioabsorption) of such materials may be controlled by the initial fatty acid composition and regulated hydrolysis creates biocompatible (e.g., non-inflammatory) break-down products of fatty acids, glycerols and glycerides.

Also disclosed herein is that in certain embodiments the addition or inclusion of an additional fixating or mucoadhesive layer (e.g., carboxymethylcellulose or CMC) imparts in situ adhesive capacity ensuring construct retention at the application site, and can further influence drug delivery rates. In certain embodiments, one or more of the layers (e.g., the biomaterial layer and/or the fixating layer) comprise one or more therapeutic agents and are capable of delivering such therapeutic agents to a targeted tissue at a defined rate of release. In some embodiments, the one or more therapeutic agents may be hydrophobic. In yet other embodiments, the one or more therapeutic agents may be hydrophilic. In certain embodiments, the one or more therapeutic agents may comprise paclitaxel.

Described herein are relationships between the properties of such layers and methods of tailoring the release of therapeutic agents from such layers by manipulating the properties of the materials. For example, in certain embodiments described herein, the rate at which one or more therapeutic agents is released from the biomaterial and/or fixating layers can be manipulated (e.g., increased or decreased). For example, in certain embodiments the dissolution of the biomaterial layer (e.g., a film comprising fatty acids, such as omega-3 fatty acids) follows a bi-phasic release that can be described mathematically as the sum of two exponential decay equations. The first phase is a rapid burst and is followed by a slower decay of material. These various phases of the release may be tailored to deliver active pharmaceutical ingredients (API's) or one or more therapeutic agents.

Also disclosed herein are means of manipulating, modulating, or otherwise controlling the rate of release of one or more therapeutic agents from the materials disclosed herein by coupling one or more fixating layers (e.g., a carboxymethylcellulose hydrogel formulations) to the biomaterial (e.g., a film comprising cross-linked fatty acids) with the composition of the biomaterial providing an additional means of controlling drug delivery via the fixating layer in addition to the biomaterial layer. For example, such a material prepared by coupling a biomaterial layer to a fixating layer (i.e., a hybrid hydrogel-oil composition) can be tailored to deliver either a single or multiple therapeutic agents with different elution rates, depending on the origin of release from the fatty acid-based material or matrix.

In accordance with the present invention, disclosed herein are coating materials (e.g., bioabsorbable coating materials) for medical devices comprising a biomaterial, a fixating material (e.g., sodium carboxymethylcellulose) and at least one therapeutic agent; wherein the biomaterial includes fatty acids (e.g., fish oil fatty acids) cross-linked to each other (e.g., directly to each other); wherein the fixating material is disposed on an outer surface of the biomaterial relative to the medical device; wherein the coating material effects controlled delivery in a patient of the one or more therapeutic agent from the coating material; and wherein the controlled delivery is at least partially characterized by the total and relative amounts of the biomaterial and the fixating material in the film material. In certain embodiments, the rate of release of the one or more therapeutic agents from the fixating material may be controlled at least in part by the degree of protonation of the fixating material caused by the relative amount of fatty acids in the biomaterial.

Also disclosed herein are methods of modulating the rate of release of one or more therapeutic agents from a coating material. Such methods include the steps of providing a biomaterial, wherein the biomaterial comprises fatty acids cross-linked to each other; providing a fixating material; and coupling the fixating material to the biomaterial to form the coating material; wherein at least one of the biomaterial and the fixating material comprises one or more therapeutic agents; and wherein the rate of release the one or more therapeutic agents from the coating material is at least partially characterized by total and relative amounts of the biomaterial and the fixating material in the coating material.

In accordance with the present invention, films can include a biomaterial, wherein the biomaterial comprises fatty acids cross-linked to each other; and a fixating material, wherein the fixating material is disposed on an outer surface of the biomaterial relative to the medical device; wherein at least one of the biomaterial and the fixating material comprises one or more therapeutic agents; wherein the film is implantable in a patient to effect controlled delivery of the one or more therapeutic agent to the patient; and wherein the controlled delivery is at least partially characterized by total and relative amounts of the biomaterial and the fixating material in the film. In accordance with aspects of the present invention, the rate of release of the one or more therapeutic agents from the fixating material is controlled at least in part by the degree of protonation of the fixating material caused by the relative amount of fatty acids in the biomaterial.

In accordance with the present invention, the biomaterials disclosed herein can include a first therapeutic agent and the fixating material comprises a second therapeutic agent; wherein the biomaterial releases the first therapeutic agent at a first rate and the fixating material releases the second therapeutic agent at a second rate. The second rate may be influenced by a composition of the biomaterial. For example, in certain embodiments wherein the biomaterial has a high fatty acid density, such high fatty acid density delays the second rate. In other embodiments wherein the biomaterial has a low fatty acid density, such low fatty acid density accelerates the second rate.

In accordance with the present invention, the rate of release of the one or more therapeutic agents from the fixating material is controlled at least in part by the degree of protonation of the fixating material caused by a relative amount of fatty acids in the biomaterial. For example, the rate of release of the one or more therapeutic agents from the fixating material may be controlled at least in part by the degree of protonation of the fixating material caused by a relative amount of fatty acids in the biomaterial. In certain embodiments, a greater total and relative amount of the biomaterial to the fixating material in the coating results in a higher degree of protonation of the fixating material and thereby extends the release of the one or more therapeutic agents from the fixating material.

In accordance with the present invention, the biomaterials disclosed herein further comprise alpha-tocopherol. Similarly, in certain embodiments, the biomaterial further comprises a naturally-occurring oil (e.g., fish oil). In accordance with the present invention, the fatty acids are fish oil fatty acids (e.g., omega-3 fatty acids). For example, the biomaterial may comprise one or more omega-3 fatty acids selected from the group consisting of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), and combinations thereof. In accordance with the present invention, the biomaterial further comprises ethyl esters of one or more fatty acids (e.g., ethyl esters of omega-3 fatty acids such as eicosapentaenoic acid (EPA), docosahexaenoic acid (DHA) and combinations thereof).

Also disclosed herein are fixating materials that are capable of fixating the coatings to tissue in vivo for a duration of greater than 10 days. In those embodiments where the fixating material includes one or more therapeutic agents, such one or more therapeutic agents may be released from the fixating material for a duration of greater than 10 days (e.g., at least about 10 days, 14 days, 21 days, 24 day, 30 days, 45 days, 60 days, 90 days or more). In accordance with the present invention, the fixating materials may be selected from the group consisting of carboxymethylcellulose (Na—CMC), poly(ethylene glycol), poly(ethylene oxide), poly(HEMA), poly(N-vinyl pyrrolidone), poly(acrylic acid), carboxymethyl cellulose (CMC), chitosan and combinations thereof.

The coating materials disclosed herein may be applied to a medical device (e.g., a medical device selected from the group consisting of a surgical mesh, a graft, a catheter balloon, a stand-alone film and a stent) and cured (e.g., heat cured) on the medical device.

In accordance with the present invention, the coating materials disclosed herein may further comprise a plasticizing agent. For example, such coating materials may comprise a plasticizing agent selected from the group consisting of glycerin, propylene glycol, poly ethylene glycol, triacetin citrate, triacetin and combinations thereof.

The above discussed and many other features and attendant advantages of the present invention will become better understood by reference to the following detailed description of the invention when taken in conjunction with the accompanying examples.

BRIEF DESCRIPTION OF THE DRAWINGS

The aforementioned features and advantages, and other features and aspects of the present invention, will become better understood with regard to the following description and accompanying drawings, wherein:

FIG. 1 depicts the molecular structure of sodium carboxymethylcellulose (CMC) and in particular illustrates the ionic interaction of the CMC carboxylate anion and the sodium cation;

FIGS. 2A, 2B and 2C illustrate film images and the therapeutic agent release profiles from such films. FIG. 2A depicts the percentage of therapeutic agent released from the fixating material (CMC) side of the film. FIG. 2B depicts the percentage of therapeutic agent released from the biomaterial (omega-3 fatty acid) side of the film. FIG. 2C depicts the erosion of the fatty acid-based biomaterial in simulated peritoneal fluid as a function of time;

FIG. 3 illustrates that the mass of prepared fatty acid-based biomaterial film materials of different thicknesses (0.5 mm and 4.0 mm) changes as a function of time when exposed to simulated peritoneal fluid;

FIG. 4 illustrates the uptake of paclitaxel from different films prepared with and without the use of a CMC-based fixating layer, as measured by scintillation;

FIG. 5A illustrates the effects of packaging humidity on the films prepared using a CMC-based fixating layer and a fatty acid-based biomaterial layer (FTIR Protonation Peak Ratio: 1720 cm⁻¹/1024 cm⁻¹). FIG. 5B illustrates the measured water content of sealed packages throughout accelerated aging of the films prepared using a CMC-based fixating layer and a fatty acid-based biomaterial layer; and

FIG.6A illustrates the release of paclitaxel from coating materials prepared from fish oil, a blended mixture of fish oil and fish oil ethyl esters, or flaxseed oil.

FIG. 6B illustrates the release of triclosan from coating materials prepared from fish oil, a blended mixture of fish oil and fish oil ethyl esters, or flaxseed oil.

DETAILED DESCRIPTION OF THE INVENTION

The ionically charged state of a fixating or hydrogel material (e.g., a film comprising CMC) is critical for tissue attachment, as well as the aqueous solubility of the fixating or hydrogel material and, in accordance with the present invention, may be manipulated to modulate (e.g., increase or decrease) the ability of such material not only to adhere to tissue but also to deliver therapeutic agents. There are chemical interactions between the fixating hydrogel material or layer and the biomaterial layer (e.g., a cured oil composition) where the amount of, and underlying fatty acid chemistry of, the biomaterial layer (e.g., a cured oil composition) can be utilized to modify the charged state of the fixating or hydrogel layer. This technique can therefore be used to alter the hybrid hydrogel-oil material's affinity for tissue adhesion, the material's water solubility characteristics, and the material's propensity for controlled drug and/or therapeutic delivery to surrounding tissue at desired or predetermined rates.

As described in U.S. Publication No. 2012/0016038, the entire teachings of which are incorporated by reference herein, the underlying fatty acid chemistry of the fatty acid-based material allows for a means to manipulate the hydrolysis of such material. The present inventors have discovered that the material's in-vitro hydrolysis correlate with in-vivo absorption properties of such material and may be used to define the mechanism of release (e.g., monophasic or biphasic release). The term “monophasic” refers to the classic exponential decay model. This implies that only one mechanism of omega-3 fatty acid hydrolysis is occurring. This model is consistent with a completely cross-linked polymer whose hydrolysis occurs by only one pathway. The following equation is used to fit the data:

M=M ₀ e ^(−kt)

where, “M” refers to the amount of material that is remaining, M₀ is the starting amount of material, and “k” is the rate constant.

As used herein, the term “bi-phasic” means that the release is being fit to an exponential decay model that describes two decay phenomena that simultaneously occur. For the fatty acid-based coating materials disclosed herein (e.g., omega-3 fatty acid based coating materials), this may be the release of “unbound” or unreacted fatty acids by means of swelling and diffusion as well as the release of “bound” or reacted fatty acids by hydrolytic reactions. Alternatively, bi-phasic behavior may be described by the combination of other decay phenomena such as the relative rates of hydrolysis of different bonds, or the relative rates of hydrolytic and enzymatic actions. In the case of omega-3 fatty acid coating materials, the data is fit to the following model that is the sum of the two decays:

M=M ₁ e ^(−k) ₁ ^(t) +M ₂ e ^(−k) ₂ ^(t)

where “M” refers to the amount of material that is remaining, M₁ is the starting amount of unreacted material, M₂ is the starting amount of reacted material, and k₁ and k₂ are their respective rate constants.

As used herein, to describe a material, layer or gel the phrase “biomaterial” refers to a material that comprises fatty acids (e.g., omega-3 fatty acids). In certain embodiments, such biomaterial can effectively reduce the incidence of adhesions (e.g., post-operative adhesions). In certain embodiments, such biomaterial layer or material is prepared by exposing an oil composition (e.g., a naturally- or synthetically-prepared oil) to curing conditions (e.g., thermal or UV curing conditions) to induce cross-linking (e.g., oxidative cross-linking) of the fatty acids that comprise such oil composition (e.g., cross-linking of fatty acids directly to each other by way of one or more carbon-carbon, ether, ester, lactone and delta-lactone bonds). In certain embodiments, such biomaterial layers are non-polymeric. In certain embodiments, the biomaterial layer may be used as a carrier to facilitate the delivery of one or more therapeutic agents. In certain embodiments, a fixating layer or material is disposed onto the biomaterial layer.

In certain embodiments, the materials, films and related methods disclosed herein contemplate the use of a fixating material or layer. Such fixating material facilitates the adhesion of the material and films to tissue in vivo. As used herein, the phrases “fixating material” and “fixating layer” are used to describe a material having mucoadhesive properties. In certain embodiments, the mucoadhesive properties are imparted to the material or layer by the inclusion of one or more polymers (e.g., Na—CMC). In certain embodiments, the fixating material comprises one of a group of sodium carboxymethylcellulose (Na—CMC), poly(ethylene glycol), poly(ethylene oxide), poly(HEMA), poly(N-vinyl pyrrolidone), poly(acrylic acid), carboxymethyl cellulose (CMC), and chitosan. In certain embodiments, the fixating material is sodium carboxymethylcellulose (Na—CMC).

An important attribute of the mucoadhesive properties of the CMC component in cured oil-CMC hybrid materials is the maintaining of the sodium salt form (FIG. 1) so that the negative charge produced after displacement of the sodium upon hydration can couple to the positive charge produced by amino groups of proteins in tissue. The salt functional group component of CMC is sensitive to changes in pH, Specifically, as CMC becomes more acidic, a reduction of the salt form is observed as the carboxylate anion (COO—) groups become neutralized by the substitution of a proton (H+). A reduction of the salt form results in decreased CMC water solubility and loss of tissue adherence properties. Thus, maintaining a minimum amount of surface charge on the CMC fixating material or coating material of the hybrid materials is critical to maintaining mucoadhesive performance. In certain embodiments, the fixating layer may be used as a carrier to facilitate the delivery of one or more therapeutic agents.

In accordance with the present invention, by controlling the chemical interactions between the CMC-omega-3 fatty acid materials, the mucoadhesive properties of the fixating material can be altered. Likewise, by controlling the chemical interactions between the CMC-omega-3 fatty acid materials, the abilities of such fixating material to hydrate, to release therapeutic agents contained therein and the bioabsorption properties thereof may be altered or otherwise influenced. For example, when in contact with a fixating material such as CMC, the biomaterial or layer (e.g., an omega-3 fatty acid-based material) facilitates the transfer of protons (H+) to the fixating material. As a result, the surface charge on the fixating material or coating material may be further neutralized, thereby decreasing the water solubility of the fixating material (e.g., CMC) and resulting in a corresponding decrease in the tissue adherence properties of the fixating material. Similarly, neutralization of the surface charge of the fixating material influences the rate at which one or more therapeutic agents are eluted from such fixating material. For example, by decreasing the water solubility of the fixating material (e.g., by coupling the fixating material to a fatty acid-based biomaterial layer) the rate at which a therapeutic agent is released from the fixating layer is reduced, extended and/or delayed.

By increasing the solubility or the rate at which the fixating material and/or the biomaterial layer hydrolyzes, the bioabsorption properties of the materials, layers, films, coatings and gels disclosed herein can be enhanced. Accordingly, in one aspect, the invention provides methods of modulating a bioabsorbability of the materials, layers, films, coatings and gels disclosed herein (e.g., by modulating the rate at which such materials, layers, films, coatings and gel hydrolyze). The invention also provides biomaterial layers, films, coatings and gels which can be prepared according to the methods discussed herein.

In certain embodiments, the fixating layer may be prepared such that it includes one or more plasticizing agents such as glycerol, propylene glycol, poly ethylene glycol, triacetin citrate or triacetin. The addition of a plasticizing agent (e.g., glycerol) to such fixating layer serves to add plasticity to the fixating layer, but can also serve as a vehicle to facilitate proton transfer between the fatty acid-based biomaterial layer and the fixating layer. As a result, the surface charge on the fixating material or coating material may be further neutralized by the presence of a plasticizing agent enabling proton transferal, thereby decreasing the water solubility of the fixating material (e.g., CMC) and resulting in a corresponding decrease in the tissue adherence and therapeutic agent release properties of the fixating material.

While certain compounds, compositions and methods of the present invention have been described with specificity in accordance with certain embodiments, the following examples serve only to illustrate the compounds of the invention and are not intended to limit the same. The articles “a” and “an” as used herein in the specification and in the claims, unless clearly indicated to the contrary, should be understood to include the plural referents. As used herein, the term “about” will be understood by persons of ordinary skill in the art and may vary to some extent on the context in which such term is used. To the extent that there may be uses of the term which are not immediately clear to persons of ordinary skill in the art given the context in which is used, the term “about” will mean up to plus or minus twenty percent of the given term. Claims or descriptions that include “or” between one or more members of a group are considered satisfied if one, more than one, or all of the group members are present in, employed in, or otherwise relevant to a given product or process unless indicated to the contrary or otherwise evident from the context. The invention includes embodiments in which exactly one member of the group is present in, employed in, or otherwise relevant to a given product or process. The invention also includes embodiments in which more than one, or the entire group members are present in, employed in, or otherwise relevant to a given product or process. Furthermore, it is to be understood that the invention encompasses all variations, combinations, and permutations in which one or more limitations, elements, clauses, descriptive terms, etc., from one or more of the listed claims is introduced into another claim dependent on the same base claim (or, as relevant, any other claim) unless otherwise indicated or unless it would be evident to one of ordinary skill in the art that a contradiction or inconsistency would arise. Where elements are presented as lists, (e.g., in Markush group or similar format) it is to be understood that each subgroup of the elements is also disclosed, and any element(s) can be removed from the group. It should be understood that, in general, where the invention, or aspects of the invention, is/are referred to as comprising particular elements, features, etc., certain embodiments of the invention or aspects of the invention consist, or consist essentially of, such elements, features, etc. For purposes of simplicity those embodiments have not in every case been specifically set forth in so many words herein. It should also be understood that any embodiment or aspect of the invention can be explicitly excluded from the claims, regardless of whether the specific exclusion is recited in the specification. The publications and other reference materials referenced herein to describe the background of the invention and to provide additional detail regarding its practice are hereby incorporated by reference.

EXAMPLE 1

Double-layered films of fatty acid-based, biomaterial layers and CMC-based fixating layers were prepared and demonstrated local release of therapeutic agents. The fatty acid-based, biomaterial layers were prepared by oxidatively crosslinking fish oil by exposure of the fatty acids to thermal curing conditions in the presence of oxygen. The CMC-based fixating layer was then prepared with glycerol as a plasticizing agent and cast on top of the fatty acid-based film or layer.

Paclitaxel was selected as a model hydrophobic therapeutic agent and its release kinetics were examined when applied to either the fatty acid-based layer or fixating layer of the film. The fatty acids in the fatty acid based-layer, the CMC in the fixating layer and the paclitaxel were all labeled with specific fluorophores to enable simultaneous tracking of the film's hydrolysis products and drug release, as well to correlate behavior in vitro and in vivo after implantation in the dorsal subcutaneous space of mice as an indication of the bioabsorption of the film in vivo.

To facilitate tracking of the hydrolysis of the constructed double-layered film and therapeutic agent release kinetics in vivo, a noninvasive imaging assay was developed. Specifically, fluorescently labeled NBD-stearate was used as a reporter for fatty acid hydrolysis. This lipid (Avanti Polar Lipids, excitation 500 nm and emission 540 nm) is added to the process and behaves similarly to the other fatty acids that comprise the fatty acid-based, biomaterial. Similarly, the CMC-based fixating layer was labeled with Xenolight 647 (Invitrogen, excitation 640 nm and emission 680 nm). The labeled paclitaxel (excitation 535 nm and emission 580 nm) signal could be differentiated from the fatty acid-based and CMC-based signals. The ability to track the hydrolysis of construct components in vivo along with drug release is critical and enables the correlation between hydrolysis and release, along with the relationships between hydrolysis and drug release in vitro and in vivo, to form predictive models that enable forecasting of in vivo behavior from in vitro profiles. Subcutaneous implantation of the constructed double-layered film demonstrated no adverse tissue response, as expected from such natural materials.

The therapeutic agent release kinetics observed were dependent on the constituent materials that comprised each of the fatty acid-based, biomaterial layer (FIG. 2B) and the CMC-based fixating layers (FIG. 2A). The therapeutic agent was observed to have penetrated poorly (3 μm) into the CMC-based fixating layer and penetrated deeply into the fatty acid-based, biomaterial layer (65 μm).

Release of the therapeutic agent from each of the fatty acid-based, biomaterial layer and the fixating layer proceeded differentially in vitro and followed the distinct hydrolysis modes of the two constituent layers. We hypothesized that material hydrolysis is the determining factor controlling release kinetics of the therapeutic agent. Release of the therapeutic agents from the prepared film was dependent upon the fatty acid composition of the fatty acid-based, biomaterial layer (FIG. 2A vs. FIG. 2C, linear correlation R=0.99). The prepared film constructs eliminated the diffusivity component of the therapeutic agent and enabled full control over therapeutic agent release profile through manipulation of composition and oxidative conditions to form distinct fatty acid cross-linked networks. Networks of cross-linked fatty acids with a higher number of polar groups (e.g. hydroxyls), were more hydrophilic (as demonstrated by contact angle measurements) and were observed to swell and hydrolyze faster, thereby modulating drug release kinetics.

The foregoing study confirms that oil-based materials show promise as scaffolds for therapeutic agent delivery and release. The study also demonstrates that when the therapeutic agent is applied to the faster hydrolyzing CMC-based fixating material or layer, it results in a faster release profile as compared to when it is incorporated into the more slowly hydrolyzing omega-3 fatty acid-based, biomaterial or layer. Such materials are biocompatible and enable high tunability based on starting fatty acid composition and thermal oxidative processing conditions. Network crosslinking or fatty acid density dictates hydrolysis kinetics that in turn fully controls drug release profile while abrogating drug diffusion.

EXAMPLE 2

Fatty acid-based, biomaterial films of 0.5 mm and 4.0 mm thickness were prepared and which comprised fish oil triglycerides. Such films also contained a fluorophore (0.3% NBD-12 stearate) to facilitate tracking of the film's hydrolysis. The two films were confirmed to be equivalent chemically via FTIR and fatty acid profile and only differed in thickness and thus in the coating density (mass per unit area). In this study, the 0.5 mm films had an estimated coating density of 13.8 mg/in² and the 4.0 mm films of 124.0 mg/in². Each of the films had approximately 25% unbound material prior to the study.

The films were placed in a simulated peritoneal fluid comprised of 37% calf serum and 63% Dulbecco's Modified Eagle Medium (DMEM) and incubated at 37° C. The films were removed and the fluorescence measured by an in viva imaging system (IVIS). The change in fluorescence was used to calculate the amount of material that had been removed from the film. Since the material was in an aqueous buffer, the method of hydrolysis modeled in these experiments is hydrolytic.

As illustrated in FIG. 3, the mass of the films changed as a function of time exposed to the simulated peritoneal fluid, with the 0.5 mm film and the 4 mm film having exponential decay equations of M=32.6 e^(−0.0079t)+79.67 e^(−0806t), r²=0.9988 and M=57.1 e^(−0.0031t)+57.8 e^(−0.1448t), r²=0.9986, respectively.

EXAMPLE 3

Hybrid hydrogel-cured oil materials consisting of a cured fish oil (omega-3 fatty acid) biomaterial coating, film or material coupled with a mucoadhesive fixating layer (sodium carboxymethylcellulose or CMC and glycerol) layer were constructed. This allows for the CMC-based fixating layer of the resulting hybrid material to adhere to the surface of tissues while the omega-3 fatty acid-based biomaterial layer provides barrier functionality. The glycerol component of the fixating layer serves to add plasticity and may also serve as a vehicle to facilitate proton transfer between the omega-3 fatty acid-based biomaterial layer and the fixating layer.

An important attribute of the mucoadhesive properties of the CMC-based fixating layer in the hybrid construct is the maintaining of the sodium salt form (FIG. 1) so that the negative charge produced after displacement of the sodium upon hydration can couple to the positive charge produced by amino groups of proteins in tissue.

The salt functional group component of the CMC is sensitive to changes in pH. Specifically, as CMC becomes more acidic, a reduction of the salt form is observed as the carboxylate anion (COO⁻) groups become neutralized by the substitution of a proton (H⁺). A reduction of the salt form results in decreased CMC water solubility and loss of tissue adherence properties. Thus, maintaining a minimum amount of surface charge on the CMC-based fixating layer of the hybrid construct is critical to maintaining mucoadhesive performance. By controlling the chemical interactions between the CMC-based fixating layer and the omega-3 fatty acid-based biomaterial layer or materials, the mucoadhesive performance of the fixating layer can be altered.

Another aspect of the invention is to use such hybrid coatings prepared using a CMC-based layer and an omega-3 fatty acid-based biomaterial layer or material as a means to control delivery and release of one or more therapeutic agents. Research and development work performed demonstrated that the rate of hydrolysis of such hybrid materials could be extended or decreased in both in-vitro and in-vivo testing by altering the underlying fatty acid chemistry of omega-3 fatty acid biomaterial. Based on these findings and internal product characterization being performed to support the C-QUR Film product development project as further described in U.S. Publication No.: 2010/0183697, the entire teachings of which are incorporated by reference herein, it was decided to expand the possibility of this concept being extended to using hybrid fatty acid-carboxymethylcellulose materials as a means to alter drug release differently from within the same construct.

EXAMPLE 4

To conduct the instant study, 25 μL of radiolabeled paclitaxel was applied to the omega-3 fatty acid layer of 2 different free-standing films. One film was 0.5 mm of omega-3 fatty acid with the mucoadhesive, CMC-based fixating layer and the other film was 2.0 mm of the omega-3 fatty acid biomaterial layer with no mucoadhesive fixating layer. The concentrations of paclitaxel in the aliquots were 0, 50, 100, and 200 μg/mL, resulting in total mass of paclitaxel applied of 0, 1.25, 2.5, and 5.0 μg. The films were then applied to the lumen of carotid arteries. For the 0.5 mm CMC-based film, the CMC side was adhered to the artery. The samples were incubated in calf serum for 2 hours at 37° C., the films were removed, and the arteries assessed for amount of paclitaxel uptake via scintillation.

The results of the instant study are presented in FIG. 4. As illustrated in FIG. 4, when the therapeutic agent is applied to the faster hydrolyzing CMC-based fixating layer and then subsequently placed in contact with tissue, the faster release profile contributes to greater early tissue uptake. The average percentage of therapeutic agent absorbed by the tissues was 15.9% for the 0.5 mm CMC-based film and 5.7% for the film that did not contain a CMC-based fixating layer, thus supporting the conclusion that by increasing the rate at which the films hydrolyze, such films are rendered more bioabsorbable.

EXAMPLE 5

In the present study, the ability of the cured fatty acid-based, biomaterial to alter the carboxymethylcellulose sodium salt protonation state (i.e. charge state) was investigated. For this experiment samples were packaged at a high (45% RH) and a low (10% RH) humidity for both 1.5 mm and 5.0 mm films, each of which comprised both a CMC-based fixating layer and a fatty acid-based, biomaterial layer (i.e., for the 1.5 mm film, the CMC-based layer being approximately 1 mm and the fatty acid-based, biomaterial layer being the balance). The films were packaged, sterilized and then subjected to heating at 45° C. at different time points to accelerate proton transfer from the fatty acid-based layer to the CMC carboxyl sodium salts that comprise the fixating layer.

The results of this experiment demonstrated that the amount of the cured oil fatty acid component (i.e., acidic environment and proton source) and humidity level (affecting film water content to facilitate proton transfer) directly impacted the ability for the CMC to become protonated, as depicted in FIGS. 5A and 5B.

The forgoing studies confirm that the films prepared using a CMC-based fixating layer and a fatty acid-based, biomaterial layer are unexpected and unique where they are not just extruded layers that are laminated together. Rather, a chemical interaction exists between the fixating layer and the biomaterial layer which can be harnessed to control drug delivery. In particular, the foregoing provides evidence that the aqueous solubility and tissue adherence of carboxymethylcellulose (CMC) is dependent on the anionic (i.e. charged) state of the polymer that comprises the fixating layer, and furthermore that a decrease in CMC hydrophilicity due to a decrease in anionic content is a result of proton (H+) addition to the charged functional groups. Accordingly, the fatty acid-based, biomaterial layer can serve as a proton reservoir, whereas the residual water content and mass of fatty acids in the material can influence the protonation rate of the carboxymethylcellulose in the fixating layer. By altering the protonation rate and aqueous solubility of the carboxymethylcellulose, the release of therapeutic agents can be controlled and tailored.

In another aspect of this invention, the protonation rate of the carboxymethylcellulose can be additionally altered by changing the starting fatty acid composition and hydrolysis rate of the cured oil material. Layers of drug release reservoirs can be created where a fixating layer can be applied onto the biomaterial layer or coating of varying fatty acid compositions. Alternatively, layers of alternating fixating layers and biomaterial layers can be used in order to control different drug release rates from a hybrid material. Furthermore, the hydrolysis rate of the biomaterial layer can be controlled by altering starting oil and/or fatty acid chemistry and/or the cured material density and surface area. Similarly, the charge of the fixating layer can be altered by using polymers of different starting levels of ionic substitution, or by using different cured oil fatty acid chemistries (proton sources). Additionally, in one aspect of this invention, the charge and/or cross-linking of the fixating material or layer can be manipulated by the presence of monovalent, divalent, or polyvalent cations.

The present studies also provide that the initial water content of the films prepared using a CMC-based fixating layer and a fatty acid-based, biomaterial layer upon storage can influence material performance. Similarly, temperature is an important aspect of facilitating proton transfer between the CMC-based fixating layer and a fatty acid-based, biomaterial layer and generally, reduced temperature hinders proton transfer where elevated temperature accelerates proton transfer. The use of, for example, antioxidants (e.g., vitamin C) can be used as a free radical scavenger as a means to control the hydrolysis of one or more of the CMC-based fixating layer, the fatty acid-based, biomaterial layer, and/or the therapeutic during sterilization and material storage. Additionally, the antioxidant can be used as a plasticizer. Additional polar materials (e.g., glycerol, monoglycerides, or free fatty acids) can be added to modulate the plasticity of the films prepared using a CMC-based fixating layer and a fatty acid-based and/or facilitate proton transfer between fatty acid and hydrogel components.

While the foregoing examples are directed to the use of Na—CMC, it should be understood that the concepts and findings presented herein are generally applicable to other fixating materials and/or biomaterial. In certain embodiments, such fixating materials contain ionically charged functional groups.

EXAMPLE 6

Three different coatings were prepared with different types of fatty acid materials. These coatings were (1) fish oil, (2) fish oil enriched with fish oil ethyl esters, and (3) flaxseed oil. Fluorescently labeled paclitaxel, a hydrophobic drug, dissolved in ethanol was pipetted onto the surface of the coating. These samples were incubated at 37° C. in a media consisting of 37% calf serum and 63% DMEM (Dulbecco's Minimum Eagle Medium) and the amount of drug eluted from the surface as a function of time was determined by fluorescent measurements taken by an in vivo imaging system (IVIS).

By changing the type of coating material, different drug release profiles were obtained. Oils that were more hydrophilic released the drug more quickly in aqueous media than oils that were more hydrophobic, as illustrated in FIG. 6A.

These coatings were similarly coated with triclosan, a hydrophilic drug, and incubated in pH 7 PBS buffer at 37° C. and the amount of drug eluted from the surface as a function of time was determined by HPLC assay. As illustrated in FIG. 6B, the oils that were more hydrophilic released the drug more quickly in aqueous media than oils that were more hydrophobic.

Numerous modifications and alternative embodiments of the present invention will be apparent to those skilled in the art in view of the foregoing description. Accordingly, this description is to be construed as illustrative only and is for the purpose of teaching those skilled in the art the best mode for carrying out the present invention. Details of the structure may vary substantially without departing from the spirit of the present invention, and exclusive use of all modifications that come within the scope of the appended claims is reserved. Within this specification embodiments have been described in a way which enables a clear and concise specification to be written, but it is intended and will be appreciated that embodiments may be variously combined or separated without parting from the invention. It is intended that the present invention be limited only to the extent required by the appended claims and the applicable rules of law.

It is also to be understood that the following claims are to cover all generic and specific features of the invention described herein, and all statements of the scope of the invention which, as a matter of language, might be said to fall therebetween. 

1. A coating material for a medical device, comprising: a biomaterial, wherein the biomaterial comprises fatty acids cross-linked to each other; and a fixating material, wherein the fixating material is disposed on an outer surface of the biomaterial relative to the medical device; wherein at least one of the biomaterial and the fixating material comprises one or more therapeutic agents; wherein the coating material effects controlled delivery in a patient of the one or more therapeutic agents from the coating material; and wherein the controlled delivery is at least partially characterized by total and relative amounts of the biomaterial and the fixating material in the coating material.
 2. The coating material of claim 1, wherein the biomaterial comprises the one or more therapeutic agents and wherein the rate of release of the one or more therapeutic agents from the fixating material is controlled at least in part by the degree of protonation of the fixating material caused by a relative amount of fatty acids in the biomaterial.
 3. The coating material of claim 1, wherein the biomaterial comprises a first therapeutic agent, wherein the fixating material comprises a second therapeutic agent, wherein the biomaterial releases the first therapeutic agent at a first rate, and wherein the fixating material releases the second therapeutic agent at a second rate.
 4. The coating material of claim 3, wherein the second rate is influenced by a composition of the biomaterial.
 5. The coating material of claim 3, wherein the biomaterial has a high fatty acid density and wherein the high fatty acid density delays the second rate.
 6. The coating material of claim 3, wherein the biomaterial has a low fatty acid density and wherein the low fatty acid density accelerates the second rate.
 7. The coating material of claim 2, wherein the fixating material is sodium carboxymethylcellulose (Na—CMC).
 8. The coating material of claim 1, wherein the biomaterial further comprises alpha-tocopherol.
 9. (canceled)
 10. The coating material of claim 1, wherein the biomaterial further comprises fish oil.
 11. The coating material of claim 1, wherein the fatty acids are omega-3 fatty acids.
 12. The coating material of claim 1, wherein the fatty acids are selected from the group consisting of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), and combinations thereof.
 13. The coating material of claim 1, wherein the coating is on the medical device.
 14. The coating material of claim 13, wherein the medical device is selected from the group consisting of a surgical mesh, a graft, a catheter balloon, a stand-alone film and a stent.
 15. The coating material of claim 1, further comprising a plasticizing agent.
 16. The coating material of claim 15, wherein the plasticizing agent is selected from the group consisting of glycerin, propylene glycol, poly ethylene glycol, triacetin citrate, triacetin and combinations thereof.
 17. The coating material of claim 1, wherein the coating material is bioabsorbable.
 18. The coating material of claim 1, wherein the fixating material fixates the coating material to tissue in vivo for a duration of greater than 10 days.
 19. The coating material of claim 1, wherein the fixating material comprises one or more therapeutic agents and wherein the one or more therapeutic agents is released from the fixating material for a duration of greater than 10 days.
 20. The coating material of claim 1, wherein the fixating material comprises one of a group of sodium carboxymethylcellulose (Na—CMC), poly(ethylene glycol), poly(ethylene oxide), poly(HEMA), poly(N-vinyl pyrrolidone), poly(acrylic acid), carboxymethyl cellulose (CMC), and chitosan.
 21. The coating material of claim 1, wherein the biomaterial further comprises ethyl esters of one or more fatty acids selected from the group consisting of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA).
 22. A method of modulating the rate of release of one or more therapeutic agents from a coating material, the method comprising: providing a biomaterial, wherein the biomaterial comprises fatty acids cross-linked to each other; providing a fixating material; and coupling the fixating material to the biomaterial to form the coating material; wherein at least one of the biomaterial and the fixating material comprises one or more therapeutic agents; and wherein the rate of release of the one or more therapeutic agents from the coating material is at least partially characterized by total and relative amounts of the biomaterial and the fixating material in the coating material.
 23. The method of claim 22, wherein the biomaterial comprises the one or more therapeutic agents and wherein the rate of release of the one or more therapeutic agents from the fixating material is controlled at least in part by the degree of protonation of the fixating material caused by a relative amount of fatty acids in the biomaterial. 24-45. (canceled)
 46. A film, comprising: a biomaterial, wherein the biomaterial comprises fatty acids cross-linked to each other; and a fixating material, wherein the fixating material is disposed on an outer surface of the biomaterial; wherein at least one of the biomaterial and the fixating material comprises one or more therapeutic agents; wherein the film is implantable in a patient to effect controlled delivery of the one or more therapeutic agents to the patient; and wherein the controlled delivery is at least partially characterized by total and relative amounts of the biomaterial and the fixating material in the film.
 47. The film of claim 46, wherein the biomaterial comprises the one or more therapeutic agents and wherein the rate of release of the one or more therapeutic agents from the fixating material is controlled at least in part by the degree of protonation of the fixating material caused by a relative amount of fatty acids in the biomaterial. 48-52. (canceled) 